| NPI | 1285430678 |
|---|---|
| Former Legal Business Name | K4 CONSULTING AND COUNSELING GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | MILISSA DAVIS Lead Provider 803-764-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |